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Several studies have demonstrated that an increase in BMI is correlated with a decrease in sperm concentration, a decrease in motility and an increase DNA damage in sperm. Source : (1).pptx Evaluation of Fertility: A Cornerstone to Improved ...

Therefore we recommend a fertility evaluation if a couple has been attempting pregnancy for 6 months or more when the woman is 35 years of age or older. Low sperm mobility (motility): The sperm cannot "swim" as well as they should to reach the egg. Optimizing natural fertility: a committee opinion.

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Abnormalities of sperm may be treated with gonadotropin therapy, intrauterine insemination, or in vitro fertilization. An abnormal semen analysis warrants a further evaluation usually by a reproductive urologist. Previous sterilization treatment: In women who have chosen to have their fallopian tubes blocked, the process can be reversed, but the chances of becoming fertile again are not high.

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Existing definitions of infertility lack uniformity, rendering comparisons in prevalence between countries or over time problematic. Ovulation-inducing drugs and ovarian cancer risk: results from an extended follow-up of a large United States infertility cohort.

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Thus those who repeatedly spontaneously miscarry or whose pregnancy results in a stillbirth, or following a previous pregnancy or a previous ability to do so, are then not unable to carry a pregnancy to a live birth would present with secondarily infertile. (Trends in prevalence4).Infertility is when you cannot get pregnant after having unprotected, regular sex for six months to one year, depending on your age. Testosterone is secreted in a diurnal pattern, peaking a few hours after the man awakens from sleep. Its mechanism of action is still not well understood, but it competes for the estrogen receptor at the hypothalamus, pituitary, and ovarian levels. The corollary to this is that, by definition, failure to conceive in women under 35 isn't regarded with the same urgency as it is in those over 35. The average incidence of infertility is about 15%. Diagnosis and Management of Hypogonadism, Infertility, and Impotence. (PDF, 13 MB) Chapter 22 of textbook,Male Reproductive Dysfunction, 1986.